ATI RN
ATI Pediatric Proctored Exam 2023
1. The healthcare provider is caring for a child on bed rest who has severe edema in the left lower extremity due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
- A. Risk for Impaired Skin Integrity
- B. Risk for Altered Body Image
- C. Risk for Imbalanced Nutrition: Less Than Body Requirements
- D. Risk for Activity Intolerance
Correct answer: A
Rationale: The priority nursing diagnosis in this scenario is 'Risk for Impaired Skin Integrity' because severe edema in the left lower extremity can lead to compromised circulation and pressure ulcers, increasing the risk of skin breakdown and infection. Addressing and preventing impaired skin integrity is crucial for the child's overall health and well-being.
2. A parent of a child with oral candidiasis is being taught by a nurse. Which statement by the parent indicates an understanding of the teaching?
- A. I will boil the nipples and pacifiers for 20 minutes each day.
- B. I will stop the medication as soon as the spots disappear.
- C. I will apply an over-the-counter steroid cream to the spots.
- D. I will mix the medication in my child's bottle.
Correct answer: A
Rationale: Boiling the nipples and pacifiers for 20 minutes each day is an appropriate measure to prevent reinfection of oral candidiasis. This practice helps eliminate the Candida fungus from these items, reducing the risk of the child getting reinfected. It is crucial for the parent to follow this hygienic practice consistently to ensure the child's recovery and prevent the spread of the infection.
3. During an assessment, an infant is suspected to have intussusception. Which of the following findings should the nurse expect?
- A. Currant jelly stools
- B. Projectile vomiting
- C. Scaphoid abdomen
- D. Frequent stools
Correct answer: A
Rationale: Intussusception is a condition where one segment of the intestine telescopes into another, causing obstruction. The classic presentation includes currant jelly stools, which are a mixture of blood and mucus due to the sloughing of the intestinal mucosa. This finding is a result of the compromised blood supply to the affected area and is a key characteristic associated with intussusception.
4. When discussing the correction of hypospadias in a newborn, what does the nurse explain about this condition?
- A. No intervention is required as the defect will correct itself over time.
- B. Surgical repair of hypospadias is typically performed before 18 months of age.
- C. Corrective surgery is commonly postponed until preschool age.
- D. Repairing the defect does not increase the risk of testicular cancer.
Correct answer: B
Rationale: Hypospadias is a congenital condition where the opening of the urethra is on the underside of the penis. Surgical repair is the primary treatment for hypospadias and is usually recommended to be done before 18 months of age. This timing is preferred for optimal cosmetic and functional outcomes. Waiting until preschool age for corrective surgery may increase the complexity of the procedure and potential complications. Correcting hypospadias does not impact the risk of testicular cancer.
5. A nurse assesses a male patient who has developed gynecomastia while receiving treatment for peptic ulcers. Which medication from the patient�s history should the nurse recognize as a contributing factor?
- A. Amoxicillin (Amoxil)
- B. Cimetidine (Tagamet)
- C. Metronidazole (Flagyl)
- D. Omeprazole (Prilosec)
Correct answer: B
Rationale: Cimetidine binds to androgen receptors, producing receptor blockade, which can cause enlarged breast tissue, reduced libido, and impotence. All these effects reverse when dosing stops. Amoxicillin, metronidazole, and omeprazole are not associated with gynecomastia.
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